2023 Personal Tax Summary

GENERAL INFO

First Name Jewel Last Name Mohajan

Country of Current Immigrant
Bangladesh F1 - Student
Passport/Citizenship Status
Your SSN/ITIN 709-93-6813 Applied for SSN/ITIN N/A
Trustees of Princeton
Entity / affiliate
University
RESIDENCY INFORMATION

US tax residency
Non-resident Date First in USA 03/12/2019
status
First day in USA on Last day in USA on
06/28/2019 08/31/2024
F1 - Student F1 - Student
Substantial Presence Residency starting
SPT results 01/01/2024
Test not met date
Immigration status
06/28/2019
change date
TAX TREATY AND INCOME TAX DETAILS

Full-time Student Yes Degree candidate Yes

Primary Purpose of
OPT/CPT participant No Student
Visit
Occupation at
University Student Tax Residence Bangladesh
(Institution)
TAX TREATY INCOME CODE 20 - STUDENT OR TRAINEES COMPENSATION/COMPENSATORY GRANT

20 - Compensation
during studying and
Income code Tax treaty article 21(2)
training/Compensatory
grant
Tax treaty duration As long as program is
Tax treaty limit $ 8,000.00
period student
Tax treaty start Tax treaty expiry
06/28/2019 08/31/2024
date date
Gross income -
Tax treaty amount Studying and
$ 8,000.00 $ 8,000.00
covered training
compensation
Gross income -
$ 0.00 W-2 income $ 0.00
Compensatory grant
Tax on Studying and
Federal Tax training
0.00% withholding rate $ 0.00
withholding rate compensation/Comp
ensatory grant
Wish to claim treaty
Yes FICA tax NRA Exempt
benefits
FICA tax exemption
08/31/2024 FUTA tax Exempt
finishes
FUTA tax exemption
N/A
finishes
PERSONAL AND CONTACT DETAILS

Single/Married
Date of Birth 01/01/1992 Marital Status
Nonresident Alien
Day Phone (609) 921-5837 Email Address jmohajan@princeton.edu
TAX FORMS EXPIRY DATES

Form 8233, Income Form W-4

12/31/2023 Not signed
code 20 (Nonresident)
SUPPORTING DOCUMENTS (COPIES)

Visa F1 - Student copy

Passport copy, only pages with stamps and ID page
I-20 copy

I confirm that the following information is correct and up to date

Name: Jewel Mohajan Date: 02/24/2024

Signature: